Individual
DANIELLE K FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5025 ANN ARBOR RD, JACKSON, MI 49201-8801
(517) 764-2000
Mailing address
5416 N CANAL RD, DIMONDALE, MI 48821-7700
(517) 505-3768
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006214
MI
Other
Enumeration date
10/22/2020
Last updated
11/02/2020
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